| Dr Brian J Peterson, DO | |
|
405 Stageline Rd, Hudson, WI 54016-7848 | |
| (715) 531-6000 | |
| Not Available |
| Full Name | Dr Brian J Peterson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 405 Stageline Rd, Hudson, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174762397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 52859 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 54360-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hudson Hospital | Hudson, WI | Hospital |
| Regions Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Group Health Plan Inc | 1759293954 | 1487 |
| Entity Name | Lakeview Memorial Hospital Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian J Peterson, DO 7435 West Talcott Avenue, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3746 Ph: (773) 792-7921 | Dr Brian J Peterson, DO 405 Stageline Rd, Hudson, WI 54016-7848 Ph: (715) 531-6000 |
Heather Kaluzniak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Nicholas Hoffmann, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Tammie J Haveman, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Kari Haley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Haley Ruth Taormina, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Eric Dahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 |